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cardiology clinical management msk causes comparison algorithm syncope cardiomyopathy ekg electrocardiogram neurology pulmonary rheumatology stemi symptoms treatment workup a4c criticalcare
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
, Cardiac failure ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... Characteristic features ... #cardiology #MRI
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
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 Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table ... #Diagnosis #Features ... #Signs
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Cardiomyopathy - Diagnosis ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Hyper-eosinophilc Syndrome ... #Causes #differential
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
specific high risk features ... indications: • Echocardiogram ... Carotid US • Brain MRI ... • EEG • Cardiac ... EricsMedicalLectures/ #Syncope #diagnosis
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... Contractility: • MI ... #Syncope #Cardiology ... #Differential #
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... anaphylaxis, release syndrome ... #Diagnosis #table
Inflammatory Myopathies Dermatomyositis • Onset: Subacute • Pattern: Proximal • CK: Up to 50X ULN • Autoantibodies:
Anti-MDA5, anti-Mi ... heliotrope, shawl sign ... : Diagnosis of exclusion ... Inflammatory #Myopathies #differential ... #rheumatology #table
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